| Sejal U Shah Dds Pc | |
|
8820 169th St Jamaica NY 11432-4431 | |
| (718) 739-6961 | |
| (718) 739-6958 |
| Full Name | Sejal U Shah Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8820 169th St, Jamaica, New York |
| Authorized Official Name and Position | Sejal U Shah (PRESIDENT) |
| Authorized Official Contact | 7187396961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sejal U Shah Dds Pc Po Box 81 Albertson NY 11507-0081 Ph: (718) 739-6961 | Sejal U Shah Dds Pc 8820 169th St Jamaica NY 11432-4431 Ph: (718) 739-6961 |
| NPI Number | 1033248844 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033248844 | NPI | - | NPPES |
| 17958 | Other | NY | DORALDENTAL |
| 02145619 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 048976-1 (New York) | Primary |
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